John Jacob Zion Kelly, FNP-BC Valid NPI

Individual provider · Nurse Practitioner · Waterloo, IA

NPI

1467017921

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

A154520 (IA)

Sex

Male

Sole proprietor

No

Enumerated

2019-05-09

Last updated

2020-09-22